"Elana D. Buch's "Inequalities of Aging: Paradoxes of Independence in American Home Care" focuses on the topic of American home care and explores various contradictions and points of tension within the industry. It also raises awareness of the problematic inequality that exists in the American home care industry and argues for the creation of a more sustainable system."--
Thanks to advances in technology, medicine, Social Security, and Medicare, old age for many Americans is characterized by comfortable retirement, good health, and fulfilling relationships. But there are also millions of people over 65 who struggle with poverty, chronic illness, unsafe housing, social isolation, and mistreatment by their caretakers. What accounts for these disparities among older adults? Sociologist Deborah Carr’s Golden Years? draws insights from multiple disciplines to illuminate the complex ways that socioeconomic status, race, and gender shape the nearly every aspect of older adults’ lives. By focusing on an often-invisible group of vulnerable elders, Golden Years? reveals that disadvantages accumulate across the life course and can diminish the well-being of many. Carr connects research in sociology, psychology, epidemiology, gerontology, and other fields to explore the well-being of older adults. On many indicators of physical health, such as propensity for heart disease or cancer, black seniors fare worse than whites due to lifetimes of exposure to stressors such as economic hardships and racial discrimination and diminished access to health care. In terms of mental health, Carr finds that older women are at higher risk of depression and anxiety than men, yet older men are especially vulnerable to suicide, a result of complex factors including the rigid masculinity expectations placed on this generation of men. Carr finds that older adults’ physical and mental health are also closely associated with their social networks and the neighborhoods in which they live. Even though strong relationships with spouses, families, and friends can moderate some of the health declines associated with aging, women—and especially women of color—are more likely than men to live alone and often cannot afford home health care services, a combination that can be isolating and even fatal. Finally, social inequalities affect the process of dying itself, with white and affluent seniors in a better position to convey their end-of-life preferences and use hospice or palliative care than their disadvantaged peers. Carr cautions that rising economic inequality, the lingering impact of the Great Recession, and escalating rates of obesity and opioid addiction, among other factors, may contribute to even greater disparities between the haves and the have-nots in future cohorts of older adults. She concludes that policies, such as income supplements for the poorest older adults, expanded paid family leave, and universal health care could ameliorate or even reverse some disparities. A comprehensive analysis of the causes and consequences of later-life inequalities, Golden Years? demonstrates the importance of increased awareness, strong public initiatives, and creative community-based programs in ensuring that all Americans have an opportunity to age well.
Author, Fred C. Pompel, treats age as a component of social inequality which gives rise to the three major themes of the text: diversity in the experience of individuals, differences in public policy, and variations across nations. Comparison of the United States with other nations is a central component of the book, providing a greater understanding of the larger forces that shape old age.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Over the past three decades, the contours of American social, economic, and political life have changed dramatically. The post-war patterns of broadly distributed economic growth have given way to stark inequalities of income and wealth, the GOP and its allies have gained power and shifted U.S. politics rightward, and the role of government in the lives of Americans has changed fundamentally. Remaking America explores how these trends are related, investigating the complex interactions of economics, politics, and public policy. Remaking America explains how the broad restructuring of government policy has both reflected and propelled major shifts in the character of inequality and democracy in the United States. The contributors explore how recent political and policy changes affect not just the social standing of Americans but also the character of democratic citizenship in the United States today. Lawrence Jacobs shows how partisan politics, public opinion, and interest groups have shaped the evolution of Medicare, but also how Medicare itself restructured health politics in America. Kimberly Morgan explains how highly visible tax policies created an opportunity for conservatives to lead a grassroots tax revolt that ultimately eroded of the revenues needed for social-welfare programs. Deborah Stone explores how new policies have redefined participation in the labor force—as opposed to fulfilling family or civic obligations—as the central criterion of citizenship. Frances Fox Piven explains how low-income women remain creative and vital political actors in an era in which welfare programs increasingly subject them to stringent behavioral requirements and monitoring. Joshua Guetzkow and Bruce Western document the rise of mass incarceration in America and illuminate its unhealthy effects on state social-policy efforts and the civic status of African-American men. For many disadvantaged Americans who used to look to government as a source of opportunity and security, the state has become increasingly paternalistic and punitive. Far from standing alone, their experience reflects a broader set of political victories and policy revolutions that have fundamentally altered American democracy and society. Empirically grounded and theoretically informed, Remaking America connects the dots to provide insight into the remarkable social and political changes of the last three decades.
This book is a major reassessment of work in the field of critical gerontology, providing a comprehensive survey of issues by a team of contributors drawn from Europe and North America. The book focuses on the variety of ways in which age and ageing are socially constructed, and the extent to which growing old is being transformed through processes associated with globalisation. The collection offers a range of alternative views and visions about the nature of social ageing, making a major contribution to theory-building within the discipline of gerontology. The different sections of the book give an overview of the key issues and concerns underlying the development of critical gerontology. These include: first, the impact of globalisation and of multinational organizations and agencies on the lives of older people; second, the factors contributing to the "social construction" of later life; and third, issues associated with diversity and inequality in old age, arising through the effects of cumulative advantage and disadvantage over the life course. These different themes are analysed using a variety of theoretical perspectives drawn from sociology, social policy, political science, and social anthropology. "Aging, Globalization and Inequality" brings together key contributors to critical perspectives on aging and is unique in the range of themes and concerns covered in a single volume. The study moves forward an important area of debate in studies of aging, and thus provides the basis for a new type of critical gerontology relevant to the twenty-first century.
Ageing, Diversity and Equality challenges and provoke the above described normativity and offer an alternative approach which highlights the heterogeneity and diversity of ageing, associated inequalities and their intersections.
Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.
The experience of men and women in later life varies enormously, not only along lines of gender but also due to ethnicity, class, sexual orientation, and race. In this text on gender issues among the aging, Calasanti and Slevin explore these differences, their genesis, their meaning to men and women, and their treatment in the policy arena. The authors also take to task traditional research on aging and how it ignores these issues. The authors cover topics of work and retirement, body image, sexuality, health, family relationships, and informal care, among many others. The current research and nuanced theoretical approach presented in this brief book makes it the ideal text to correct the stereotypic and monolithic views of the elderly for courses in gender or aging.
This updated Fifth Edition of Scott Sernau's acclaimed text provides a sociological framework for analyzing inequality within the United States in the context of global stratification and a rapidly changing world economy. With insightful analysis, the text provides an accessible introduction to stratification systems and the structural and personal realities of growing class divides. Using examples drawn straight from today's headlines, Sernau explores each dimension of inequality as he analyzes the relationship between changing global power and growing inequalities within countries. Throughout, a focus on social action and community engagement encourages students to become involved, active learners in the classroom and engaged citizens in their communities.
